Article Versions
Export Article
Open Access Peer-reviewed

Torsion of Arteriovenous Malformation – A Rare Case of Acute Abdomen

Linda Kokaine1,, Andis Lemanis1, Sergejs Sapovalovs1, Arnis Abolins2, Arturs Balodis3

1Department of Surgery, Pauls Stradins Clinical University Hospital, Riga, Latvia

2Department of Pathology, Pauls Stradins Clinical University Hospital, Riga, Latvia

3Department of Diagnostic Radiology, Pauls Stradins Clinical University Hospital, Riga, Latvia

American Journal of Medical Case Reports. 2014, 2(11), 229-231. DOI: 10.12691/ajmcr-2-11-1
Published online: August 25, 2017

Abstract

Arteriovenous malformation (AVM) is a rare finding in gastrointestinal tract usually asymptomatic, although sometimes causes gastrointestinal bleeding or pain. Even more rarely it can be found in other abdominal organs like liver, pancreas, spleen etc. We present a unique case of acute abdominal pain – a patient with torsion of arteriovenous malformation of gastroepiploic arteries with following ischemia and thrombosis causing severe pain. A search at the literature has not yielded any other case report describing similar cause of the acute abdomen.

Keywords:

abdominal / gastroepiploic arteriovenous malformation, AVM, abdominal pain
[1]  Agarwal, S., Magu, S., Goyal, M., “Pelvic arteriovenous malformation: an important differential diagnosis of a complex adnexal mass,” J Ultrasound Med, 28 (8), 1111-4, Aug. 2009. PubMed 
 
[2]  Araki, T., Wakabayasni, T., “Gastric Arteriovenous Malformation,” Int Med, 46 (12), 915-916, Feb. 2007.View Article 
 
[3]  Arora, A., Tyagi, P., Kirnake, V., et al., „Unusual cause of massive upper gastrointestinal bleeding: a pancreatic arteriovenous malformation,” JOP, 14 (3), 292-5, May 2013. PubMed 
 
[4]  Cartwright, S.H., Knudson, M.P., “Evaluation of Acute Abdominal Pain in Adults,” Am Fam Physician, 77 (7), 971-978, Apr. 2008. PubMed 
 
[5]  Doi, K., Yoshida, M., Nakamura, T., et al., “A case of gastroepiploic arteriovenous malformation causing massive intraperitoneal hemorrhage,” Jap J Gastroent, 101 (5), 525-9, May 2004.
 
[6]  Elazary, R., Verstandig, A., Rivkind, A.I., Almogy, G., “Gastric arterio-venous malformation emerging from splenic artery,” World J Gastroenterol, 14 (25), 4091-92, Jul. 2008.View Article  PubMed  PubMed 
 
[7]  Hatanaka, M., Nakazawa, A., Nakano, N., et al., “Successful living donor liver transplantation for giant extensive venous malformation,” Pediatr Transplant, 18 (5), E152-6, Aug. 2014.View Article  PubMed 
 
[8]  Jacobson, T.B., Kolade, V.O., „Massive GI bleeding in a patient with 2 small AVMs in the small intestine: a case report,” Cases J, 3 (39), Jan.2010.View Article 
 
[9]  Latar, N.H., Phang, K.S., Yaakub, J.A., Muhammad, R., “Arteriovenous malformation of the stomach: a rare cause of upper gastrointestinal bleding,” Med J Malaysia, 66 (2), 142-3, Jun. 2011. PubMed 
 
[10]  Tagami, Y., Ogata, S., Bando, Y., “A case of posterior gastric arteriovenous malformation causing massive intraperitoneal hemorrhage,” Jap J Gastroent, 109 (9), 1556-60, Sep. 2012.
 
[11]  Takeuchi, N., Nomura Y., “Ruptured renal arteriovenous malformation successfully treated by catheter embolization: a case report,” BMC Res Notes, 7 (19), Jan. 2014.View Article 
 
[12]  Soeda, S., Ushijima,J., Furukawa, S., et al., “Uterine arteriovenous malformation formed in a large uterine cervical myoma,” Tohoku J Exp Med, 228 (3), 181-7, Nov. 2012.View Article  PubMed 
 
[13]  Sountoulides, P., Bantis, A., Asouhidou, I., Aggelonidou, H., “Arteriovenous malformation of the spermatic cord as the cause of acute scrotal pain: a case report,” J Med C Rep, 1 (110), Oct. 2007.View Article